Pricing
🧠 Built for mental health clinics

More patients who stay in care.
More reviews that build trust.
Less you doing it manually.

Spokk is the all-in-one growth platform for mental health practices -- feedback collection, AI-powered Google reviews, SMS automation, patient retention, and referral programs. All in one place.

No credit card required Β· All features included Β· Cancel anytime

40–60%
of mental health patients drop out of treatment -- often before they experience real benefit
source β†—
84%
of patients check online reviews before choosing a mental health provider
source β†—
98%
open rate for SMS messages -- vs 20% for email -- making texts your most effective channel
source β†—
33%
of people find their therapist through a personal word-of-mouth referral
source β†—
The reviews problem

Your patients are deeply grateful. They just can't say that publicly.

Here's the unique problem mental health practices face with reviews: 84% of patients consult online reviews before choosing a healthcare provider. That number holds for mental health too -- maybe more so, because the stakes feel higher.

But here's the paradox. Your patients feel some of the most profound gratitude of any patient population. You helped them through something real. And yet they almost never leave a review. Not because they don't want to -- but because doing so means publicly admitting they see a therapist. And for a lot of people, that's still not something they want attached to their name online.

So your Google profile sits at 14 reviews from 2021, and every prospective patient who searches for you -- and 30% of people use Google to find mental health help -- lands on a profile that doesn't reflect the work you actually do.

The fix is a feedback-first flow that keeps patient privacy front and center. Spokk collects honest session feedback privately. Only patients who explicitly opt into leaving a review are taken to Google. And because Spokk's AI drafts the review based on what the patient already wrote -- in their own voice -- the path from β€œwilling to share” to β€œreview posted” takes under 90 seconds.

The result: 83% of patients won't consider a provider with less than a 4-star rating. Getting to 4.8 with 60 reviews is the difference between getting found and getting skipped.

Deep dive: Google reviews for mental health clinics β†’
Why mental health patients don't leave reviews
πŸ”’
Stigma and privacy
Leaving a Google review means publicly identifying as a therapy patient. For many people, that's still a bridge too far -- even if they had a genuinely transformative experience.
🧠
Emotional weight
Sessions can be draining. When someone processes hard things in your office, writing a public review is the last thing on their mind on the way home.
✍️
Blank page anxiety
How do you even describe therapy in a Google review without it feeling either too personal or too generic? Most people give up before they start.
😌
Slow-burn gratitude
The moment patients feel most grateful is often months into treatment -- long after the impulse to write a review has faded.
What changes with Spokk

Feedback is always private first. Only patients who rate positively and opt in are gently directed toward Google. The AI drafts the review from what they already wrote -- no blank page, no awkward oversharing. The result feels like a personal note, not a public announcement.

The retention problem

Half your patients will stop coming. Most of them before therapy actually works.

Let me be direct about this one. Mental health has the highest patient dropout rates of any healthcare specialty. Between 40 and 60% of patients drop out of mental health treatment -- and the majority leave before the evidence-based window of benefit (typically 8+ sessions) has passed.

Here's what makes it worse: forgetfulness is cited twice as often in psychiatry than in other medical specialties as a reason for missed appointments. Your patients aren't abandoning treatment -- they're forgetting to rebook, or life gets in the way between sessions, and the momentum is lost.

And the no-show rate in behavioral health? Anywhere from 30 to 50% of appointments in outpatient mental health settings. A 10-provider practice loses close to a million dollars a year to no-shows alone. That's real money. And more importantly, that's real patients not getting the care they need.

SMS changes this math. A clinical study on mental health specifically found that text reminders reduced no-show rates at a community adult mental health service from 18.55% to 7.01%. That's not a rounding error. That's a fundamentally different practice.

Spokk automates the follow-up sequence every practice means to do but rarely has the bandwidth to pull off -- post-session feedback, gentle check-in, review nudge, referral ask. You set it up once. It runs after every single appointment, for every single patient.

Deep dive: SMS automation for mental health practices β†’
Spokk automation sequence -- mental health clinic
2 hrs after session
Feedback request
"How are you feeling after today's session, [Name]? Tap to share a quick note with us πŸ‘‡"
24 hrs after session
Gentle reminder
"Just checking in -- your feedback helps us keep improving. Takes 15 seconds 😊"
3 days after session
Review nudge
"Glad today felt productive, [Name]! Would you be open to sharing a quick Google review?"
20 days after session
Referral ask
"Know someone who might benefit from support? Your referral code gets you both a reward 🎁"

Steps skip automatically based on patient actions -- the review nudge only fires if the patient submitted positive feedback. No tone-deaf messages at the wrong moment.

Patient feedback

Your patients won't tell you it's not working. They'll just quietly stop coming.

Here's a dynamic that's unique to mental health: your patients are conditioned to be emotionally considerate. They're not going to tell you mid-session that they feel like the last three weeks haven't been useful. They'll nod. They'll say β€œyeah, that makes sense.” And then they'll stop booking.

The therapeutic relationship is the strongest predictor of treatment success -- patients who rate the therapeutic alliance highly are 7 times more likely to experience positive outcomes. Which means alliance issues that go unchecked don't just cost you a patient -- they cost that patient their progress.

Catching a disconnect early -- a feeling that sessions aren't focused enough, that the pace is off, that a patient doesn't feel heard -- gives you a chance to adjust before they disengage. That's what post-session feedback does. Not as surveillance. As a clinical tool.

Spokk's feedback form is simple and mobile-first -- patients tap a rating after their session, select what worked or didn't, and leave an optional note. You see everything in your dashboard, broken down by therapist, session type, and trend over time. When a patient's satisfaction starts dipping across three consecutive sessions, you know before they ghost you.

Deep dive: Patient feedback for mental health clinics β†’
Sample Spokk feedback form -- mental health clinic
How was today's session overall?
What type of session was this?
Individual TherapyCouplesGroupMedication ReviewInitial Assessment
Rate these areas (optional)
Therapist rapport
β˜…β˜…β˜…β˜…β˜…
Session focus
β˜…β˜…β˜…β˜…β˜…
Feeling heard
β˜…β˜…β˜…β˜…β˜…
Scheduling ease
β˜…β˜…β˜…β˜…β˜…
Anything you'd like us to know?
β€œI felt like we finally got to something important today. Really needed that.”
Loyalty & referrals

Rewarding consistency -- and turning happy patients into your best referral source

πŸ†

Loyalty rewards for consistent attendance

Here's a take you might not have considered: a loyalty program in mental health isn't about making therapy feel transactional. It's about creating a positive feedback loop for something patients already struggle with -- showing up consistently.

Spokk's check-in system tracks session attendance via QR code. When a patient hits a milestone you define -- say, 8 consecutive sessions -- they get an automatic SMS acknowledging it. You choose the reward: a discount on a session, a wellness resource bundle, a simple message of recognition. The gesture alone matters more than the dollar value.

Healthcare loyalty programs are proven to reduce no-shows and improve treatment completion. Approximately 10% of patient appointments result in no-shows, and attendance-based recognition meaningfully reduces that number. Fully automated. No admin work.

Deep dive: Patient loyalty programs β†’
🀝

Referrals that respect patient privacy

Word-of-mouth is the single biggest source of new therapy patients. 1 in 3 people find their therapist through a personal recommendation. The challenge is that most patients don't feel comfortable saying β€œI see a therapist, you should go too.” But they will share a code if the framing is right.

Spokk sends a referral SMS with thoughtful, stigma-neutral language -- something like β€œknow someone who could use a bit of support?” -- along with a unique code. When the referred person books, mentions the code at check-in, and visits, both parties get a reward automatically. The referrer never has to explain why they were there. The referral still happens.

Deep dive: Patient referral programs β†’
Therapist performance

Know which therapists patients connect with -- and which ones are quietly losing them

This one is delicate, and I get that. Comparing therapists by patient satisfaction scores sounds reductive. But hear me out, because the alternative is worse: not knowing that one clinician is consistently generating early dropouts until you've lost a dozen patients who never said why they left.

The therapeutic alliance -- how much a patient feels understood, respected, and connected to their therapist -- is the strongest predictor of treatment success across all therapy modalities. A mismatch doesn't mean the therapist is bad. It might mean they need support with a particular presentation. Or that a patient needs to be matched differently. You can't fix what you can't see.

Spokk links every piece of patient feedback to the specific clinician the patient saw. You get satisfaction scores per therapist, broken down by rapport, session quality, and feeling heard. You spot trends before they become attrition. And your high performers -- the ones consistently rated 4.9 on connection -- get recognised, which matters for retention in an industry facing 52% therapist burnout rates.

Look -- this isn't surveillance. It's clinical intelligence. The goal is the same as yours: keep patients in care, support your team, deliver better outcomes.

Deep dive: Therapist performance tracking β†’
Therapist performance -- example view
D
Dr. Sarah Chen
Clinical Psychologist Β· 98 sessions rated
β˜… 4.9
+0.2 this month
M
Marcus Williams
Licensed Therapist Β· 74 sessions rated
β˜… 4.6
+0.1 this month
D
Dr. Priya Nair
Psychiatrist Β· 112 sessions rated
β˜… 4.1
-0.4 this month

Dr. Nair's score is trending down. Spokk flags the pattern early -- so you can check in supportively before patients start dropping out quietly.

Frequently asked questions

Everything you need to know before you start.

How does Spokk help mental health clinics get more Google reviews without compromising patient privacy?β–Ύ
Great question, and it's the most important one for this industry. Spokk never asks patients to publicly disclose that they're in therapy. The post-session SMS collects private feedback first. Only patients who rate positively are gently shown the option to leave a Google review -- and even then, it's entirely opt-in. The AI drafts the review based on what the patient already wrote, so there's no blank page and no pressure to overshare personal details. The patient reads it, edits freely, and posts from their own account. It feels like a personal note, not a public disclosure.
Is it HIPAA-compliant to send SMS messages to mental health patients?β–Ύ
SMS for appointment reminders and feedback collection is widely used across mental health settings. Spokk does not transmit protected health information (PHI) in its automated messages -- texts reference appointments generically and do not include diagnoses, treatment details, or clinical notes. That said, every practice has specific compliance obligations, and we always recommend consulting your compliance advisor or attorney to confirm that your SMS program meets the requirements applicable to your practice.
How does Spokk help reduce the no-show rate at a mental health clinic?β–Ύ
Automated SMS reminders are one of the most evidence-based interventions for reducing no-shows in behavioral health. A clinical study found they reduced no-show rates at a community mental health service from 18.55% to 7.01%. Spokk sends your automation sequence after every session -- including a gentle check-in that keeps the patient engaged between appointments. Combined with post-session feedback that catches disengagement early, it meaningfully reduces both no-shows and quiet dropouts.
Can Spokk actually help with patient dropout, or is that a clinical problem, not a software problem?β–Ύ
Both, honestly. A lot of mental health dropout is driven by non-clinical factors: forgetting to rebook, life getting in the way, feeling like the practice doesn't care between sessions, or not getting a nudge when motivation is low. Spokk addresses these directly -- automated post-session follow-up, consistent communication between sessions, and early-warning feedback signals when a patient's satisfaction is declining. The clinical work is yours. Spokk handles the engagement infrastructure around it.
What does the patient feedback form look like, and how long does it take?β–Ύ
The form is mobile-first and takes under 60 seconds. Patients rate their overall session with an emoji scale, select the session type, optionally rate specific areas (therapist rapport, feeling heard, scheduling ease), and leave a free-text note if they want. Everything is private -- it goes to your dashboard, not anywhere public. You can fully customise the questions, categories, and language to match your practice.
How does the referral program handle the sensitivity around mental health stigma?β–Ύ
Carefully. Spokk's referral SMS uses stigma-neutral language -- framing like 'know someone who could use a bit of support?' rather than anything that implies the referrer is a patient or in treatment. Each patient gets a unique referral code. When a referred person books, mentions the code at check-in, and attends, both people get a reward automatically. The referrer never has to explain why they were there, and the referred person doesn't know they were referred by a therapy patient specifically. It just feels like a recommendation from someone who cares.
Does Spokk work for different types of mental health practices -- private therapy, psychiatry, group practice, community clinics?β–Ύ
Yes. The feedback forms, automation sequences, and staff tracking are all fully customisable. A solo therapist uses Spokk differently than a 20-provider group practice with psychiatrists, psychologists, and counselors. Multi-location practices get separate tracking per location plus aggregate reporting. The core system adapts to whatever your practice structure looks like.
How does the therapist performance tracking work, and is it intrusive?β–Ύ
It's designed to be supportive, not evaluative. When a patient submits feedback, they specify which clinician they saw. Spokk aggregates this into per-therapist satisfaction scores across dimensions like rapport, session quality, and feeling heard. Practice managers see trend lines -- not raw individual comments -- so the data is used to spot patterns and have supportive conversations, not to create a surveillance culture. High performers get visibility and recognition. Clinicians who are struggling get early support rather than a queue of silent dropouts.
How many mental health patients actually respond to a post-session SMS?β–Ύ
SMS consistently outperforms every other feedback channel in healthcare. Text messages get 98% open rates within minutes of delivery -- compared to 20% for email. In practice, the response rate depends on how quickly the SMS arrives (closer to the session is better), the simplicity of the form, and whether the practice has established a culture of asking for feedback. Practices that send the SMS 2 hours post-session typically see 3-4x more feedback responses than those relying on email or in-office forms.
What does Spokk cost for a mental health practice?β–Ύ
Spokk starts at $59 per month (billed annually) for practices with up to 250 patients per month. The Growth and Pro plans scale up from there for larger practices. Every plan includes a 14-day free trial with full access to all features -- feedback collection, AI review generation, SMS automation, loyalty, referrals, and staff performance tracking. No long-term contracts. Cancel anytime.
How long does it take to set up Spokk for a mental health clinic?β–Ύ
Most practices are fully live in under 10 minutes. You create your account, add your Google review link, configure your feedback form using the mental health template, and activate your SMS automation sequence. No integration with your EHR or practice management software is required -- Spokk works alongside whatever system you already use.
Can Spokk handle telehealth and in-person sessions?β–Ύ
Yes. The post-session SMS automation fires regardless of whether the session was in-person or via telehealth -- it's triggered by a session being logged, not by a physical check-in. For telehealth-only practices, the flow works identically. For hybrid practices, you can use QR code check-in for in-person sessions and manual session logging for telehealth, and both feed into the same feedback and automation system.

Starter

For solo operators & small teams

$49/month

Billed $588/year

250 customers / month

Unlimited SMS included

  • 250 customers / month
  • 1 manager + 1 staff member
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

Growth

For growing businesses & teams

$82/month

Billed $984/year

500 customers / month

Unlimited SMS included

  • 500 customers / month
  • 2 managers + 2 staff members
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

Pro

For high-volume businesses

$166/month

Billed $1992/year

1,500 customers / month

Unlimited SMS included

  • 1,500 customers / month
  • 3 managers + 5 staff members
  • Unlimited locations
  • Dedicated toll-free SMS number (US & Canada)
  • Full automation sequence
  • AI review response drafts
  • Loyalty & referral programs
  • Feedback forms & QR codes
  • HubSpot integration & API access
  • Buy additional customer top-ups

All plans include a 14-day free trial. No charge until your trial ends. Questions?